Whooping Cough (another name for Pertussis) can be termed as an infection to the respiratory system caused by the bacterium Bordetella Pertussis (B. pertussis). It generally affects infants (below one year of age) and who have not yet been immunized; also kids between 11 to 18 years of age whose immunity graphs are on a downward spiral.

What are the Signs and Symptoms?
Initially, whooping cough produces signs and symptoms that may just seem to overlap with those exhibited during the average cough and cold; mild coughing, sneezing, runny nose, low fever, etc. These persist for about a week or two and then slowly, there is the onset of the dry, irritating cough which again turns to prolonged coughing spells. The child s face may seem flushed with a purple hue. The child may also vomit or make the distinctive whooping sound at the end of one such spell. Breathing difficulty can be another issue.

What is the Diagnosis?
The doctor performs an initial check-up followed by tests of mucus sample from the nose or throat. The mucus is checked for the presence of the Bordetella pertussis bacteria. To make a more thorough diagnosis, a blood test is also advisable.

What is the Treatment?
Hospitalisation might be required in case of acute distress. Respiratory support may also be provided if required. If there is intense dehydration, intravenous (IV) fluids may also be administered. As this disease is on account of a bacterial infection, antibiotics will be needed. But these will just treat the immediate effects and the cough cannot be completely done away with.
What can be the Possible Complications?

The possible immediate complications include:

Brain Damage
Pneumonia
Convulsion
Haemorrhaging in the brain
What can be the Prevention?
Vaccination is needed in order to prevent whooping cough. The vaccines are advised to be administered at the age of two months, four months and six months respectively. The 1st booster dose is to be given at 16 to 18 months age and 2nd booster dose is given on 5 year completion of age. An optional booster may be given at 10 year age.

Whooping Cough in Kids - How It Can Be Treated?

Valvar aortic stenosis, commonly called aortic stenosis, is a disorder which occurs when the aortic valve of the heart becomes narrow. The narrowing of the valve prevents its full opening, and hence, blood flow from the heart to the aorta is restricted. When the aortic valve gets obstructed, the heart has to exert much more effort to pump the blood. The heart muscles get weakened as a result. This condition is more common in children.

Diagnosis of valvar aortic stenosis-
Before diagnosis, we should know about the symptoms of valvar aortic stenosis in children. They include:

 Feeling breathless
 Angina or chest pain with a feeling of pressure or tightness
 Syncope of fainting
 Palpitations and enhanced heartbeats
 A steady decline in regular activities and energy levels
 Fatigue due to little exertion
 Not gaining weight
 Poor eating patterns
 Problems in breathing

The wall of the left ventricle also thickens muscularly, and the thick wall occupies more space in the lower chamber of the heart and hence, the room for adequate blood supply is reduced. This may lead to heart failure.

Echocardiogram-
The initial test that is recommended for patients with symptoms of valvar aortic stenosis is doppler echocardiography. This test enables the doctor to estimate the aortic valve region, peak or mean transvalvular gradients and the maximum aortic velocity. These primary measures are required to assess the severity of the disease. Echocardiography provides important information on the valve function, left ventricular filling pressure and disruptions in other valves.

Other major tests which help in the diagnosis of valvar aortic stenosis include:
 Mri or magnetic resonance imaging, which provides images of internal body structures with great detail.
 Ct scan or computed tomography where three-dimensional images are extracted.
 Chest x ray
 Cardiac catheterization where a dye is used to highlight blockages, if any, in the heart.

Treatment-
Usually, there are no medicines for fixing valvar aortic stenosis as the disease is not reversible. Medicines can be used to treat the problems, which are caused by the condition.

Replacement of the damaged valve by surgery is the best treatment for valvar aortic stenosis. The surgery performed is called valvuloplasty. This is a cardioscopic surgery where a tube with a small balloon is inserted into a vein. The tube is guided into the heart, and the balloon is inflated. The balloon and tube are removed after the valve is opened. The damaged valve is replaced by mechanical valve or the valve of a cow or pig by an open-heart surgery.

Valvar aortic stenosis is a severe heart condition in children, and the only permanent remedy for this disease is a valve replacement surgery.

Diagnosis and Treatment of Valvar Aortic Stenosis in Children

Early childhood is a time when the brain develops rapidly and nutrition is an important part of healthy brain development. It is important for children to eat a variety of foods that can provide them with the proper intake of carbohydrate, protein, good fats, minerals, vitamins and antioxidants. There is a very strong mind-gut connection; therefore focusing on the food you choose to complete the nutritional needs of your child can make a great difference in their brain function.

Certain foods are better for our brains than others, these brain foods may help boost a child's brain growth and even improve the memory and cognitive development.

During infancy, the amino acids and fatty acids in breast milk are ideal for optimal brain development. The brain continues to grow throughout early childhood and children who do no consume a balanced diet are at risk of developing mental retardation and behavioral problem.

10 brain foods to feed the mind and body properly:

1. Whole grains: Brain needs a consistent supply of glucose, thus foods those are high in refined sugars and carbohydrates leads to rapid fluctuation in blood glucose levels and the brain doesn't get the steady fuel supply and energy for proper functioning, therefore to nourish the most active part of body include whole-grain breads, oatmeal, roasted grains in the diet of children for regular release of glucose in body. Oats are also rich in vitamin-B, Vitamin-E, potassium and zinc.

2. Eggs: The protein and nutrients in eggs help kids concentrate because the egg yolks are packed with choline which boosts memory. Eggs are also rich in protein, which provides energy to help the brain stay alert longer.

3. Fish: Fish is a good source of vitamin D and omega-3s, which protect the brain from declining mental skills and memory loss. Salmon, tuna, and sardines are all rich in Omega-3s. The more Omega-3s we can get to the brain, the better it will function and the better kids will be able to focus.

4. Seeds: Packed with protein, essential fatty acids, vitamins and minerals. Seeds may boost mood and keep your nervous system in check. For example sunflower seed butter as they are rich in folate, vitamin E and selenium and are safe for nut-free zones.try to include seeds directly to the meals.

5. Iron is important for brain development: Preschoolers and toddlers typically eat less iron-rich foods than they did in infancy. In addition, the iron that children get is usually non-Heme iron (from plant sources,) which has lower availability than heme iron (from animal source).sources beef, nuts and dark leafy vegetable (spinach) and tofu.

6. Milk and Yoghurt: Milk and yoghurt contains healthy fats and proteins those are important for brain health. The majority of the brain is made up of fat, so it is no wonder healthy fat is important to feed the developing brain. Protein is important as it can help brain cells send and receive information effectively. Yoghurt also contains good bacteria that will help boost your child's immune system as well as aid digestion, children need higher dose of vitamin D, which is present in dairy and its products.

7. Organic Foods and leafy vegetables: These organic foods are free from pesticides and insecticides and preservatives and do not cause neurodevelopment problems in children, which will impair proper brain functioning. Green leafy vegetables are loaded with vitamin A and K; these keep inflammation at bay .e.g. Spinach, kale, lettuce.

8. Walnuts: The high level of antioxidants, vitamin and minerals in walnuts improves the cognitive health of kids and improve their mental alertness also.

9. Colorful veggies: Vegetables with a rich, deep color such as tomatoes, sweet potatoes, pumpkin, carrots, and spinach are the best sources of antioxidants that support brain health and keep brain cells strong. These foods can be given from weaning age.

10. Berries: The color of the food tells the nutritional value of it. All the berries like strawberry, cherries, blueberries and blackberries have intense color are especially rich in vitamin C and high levels of antioxidants. Blueberries have high levels of Gallic acid, which boost memory by preventing degeneration of brain cells.

So, go ahead and try to include different food group to your Child's plate for a better performance.

Must Have Brain Foods for Your Kids!

Behavior of a child should always be closely monitored during his/her early development. Sometimes signs of several personality disorders tend to show up early in life. Proper monitoring of the child's behavior helps to identify the signs and properly diagnose the condition if the child is suffering from any potential personality disorder. 

Here are a few facts you should keep in mind:

1. You might often find it difficult to differentiate between the normal and abnormal behavior of your child. You might consult the pediatrician in this case to compare the child's general behavioral patterns with that of other children in the same age group.

2. It is very important to understand your child's development process. It helps you to interpret his/her behavior and to identify signs of personality disorder.

3. There are a few common behavior patterns, which tend to act as a guide to understanding the behavior of your child. Some of these patterns should be encouraged as they lead to proper behavioral development of your child while patterns of negative behavior should be discouraged. 

4.  You should also consult a doctor if your child shows negative behavior persistently even after disciplining measures.

5. Being polite, doing chores on a regular basis, following instructions should be encouraged and rewarded as it helps in the proper personality development of your child.

6. Behavioral patterns like an inclination towards defensive, regressive and aggressive behavior should not be encouraged but can be tolerated in certain situations like illness or in times of stress.

7.  Behavioral patterns like an increased inclination to violence or an excessive competitive attitude towards their siblings should never be allowed. 

8.  Prejudice or racism, stealing or inclination towards substance abuse, angry outbursts point towards problems in the child's mental, physical or social well-being. You are also advised to take your child to a psychological expert to find out whether he/she is suffering from any sort of behavioral disorder. 

9.  Your behavior also plays a major role in development of your child and his/her behavioral patterns. It is often seen that if a child is subjected to excessive physical, mental or emotional abuse or is engaged in too many curricular and extracurricular activities, he/she is likely to develop several behavioral disorders over time.

Child Development and Behavior

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

CAKUT or Congenital Anomalies of the Kidney and Urinary Tract is a group of simple to life-threatening malfunction or malformation of the ureters, kidney, bladders, testis, penis or female genitalia. These malformations are present from the birth when the genital or urinary system of the fetal starts developing. In young children, this kind of malformations can lead to renal transplantations and kidney failures. The primary cause of this kind of congenital problem with the urinary tract is genetic while other possible cause can be due to the environment.

Some of the most common Congenital problems with the urinary tract are:

Bladder Exstrophy: One of the most common congenital problems in children is bladder malformation. In this case, the bladder is flattened in shape and not round. So it will be exposed on the abdominal walls. This, in turn, will result in widely separated pelvic bones. Thus the function of female genitalia, penis and prostate will be affected. There are different types of Exstrophy and surgeries required for correcting them.
Undescended Testes: Usually, in the abdomen area, the testicles are formed. After the formation, they pass from the abdominal wall muscles and twist to the local place. This happens in the last few weeks of the pregnancy and is seen only in 5 percent of full-grown boys. Most of the times, testicles fall to the normal place in the first 6 months of their life. Any abnormality in the testicles or missing testicles can be due to problems in the testicular blood vessels or due to loss of blood flow to that particular area. Surgical and nonsurgical therapies like hormone management can be used to treat this kind of congenital problem.
Vesicoureteral Reflux: The Ureter is the tube in the human body that carries the urine from the kidneys to the bladder. When there is Vesicoureteral Reflux problem, then the urine flows back in the ureter. When the reflux of urine takes place, then that will get detained in that area and can cause damage to the kidneys. There are basically two types of Vesicoureteral Reflux and the primary condition is congenital problems. This problem can also be treated with the help of surgical and nonsurgical methods.
Hydronephrosis: Another very common congenital problem with the urinary tract in children is Hydronephrosis. The flow of the urine from the kidney can be prevented by any obstruction. This obstruction can result in fluids getting filled in the organs. There can be many disorders or problems associated such as Multicystic Dysplastic Kidney, Posterior Urethral Valve, Ureteropelvic Junction Obstruction and Idiopathic Hydronephrosis. There can be many other problems also associated along with these.

Congenital Problems With The Urinary Tract!

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